CSB OF EAST CENTRAL GA


Address: 236 Main St, Warrenton, GA 30828-8100
Phone: 7064324858

CSB OF EAST CENTRAL GA (NPI# 1194056879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194056879
Entity Type Organization
Organization Name CSB OF EAST CENTRAL GA
Other Organization Name GULLEY PCH
Practice Address 236 Main St
Warrenton
GA 30828-8100
Mailing Address 3421 Mike Padgett Hwy
Augusta
GA 30906-3815
Practice Telephone 7064324858
Practice Fax Number 7064323780
Enumeration Date 2010-01-20
Last Update Date 2010-01-20
Authorized Official Name WANDA JESSIE (BILLING MANAGER)
Authorized Official Telephone 7064324858
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 000927693AF 05

Other Provider/Organization Names

Other Name Type Code
GULLEY PCH Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467013821 Csb of East Central Ga Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5101 Parnell Way, Martinez, GA 30907-8896 2019-06-26
1811436512 Csb of East Central Ga Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4008 Ramswood Dr, Hephzibah, GA 30815-5849 2017-02-15
1508305285 Csb of East Central Ga Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3126 Richmond Hill Rd, Augusta, GA 30906-4754 2017-02-15
1447798707 Csb of East Central Ga Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 355 Bobwhite Trl, Grovetown, GA 30813-5886 2017-02-07
1346565926 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3015 Manchester Dr, Hephzibah, GA 30815-7166 2010-04-07
1700101391 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2006 Country Place Dr, Augusta, GA 30906-8732 2010-04-07
1588995112 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 386 Tower Rd, Augusta, GA 30907-8750 2010-01-21
1881925410 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3461 Camak Dr, Augusta, GA 30909-9433 2010-01-21
1053642686 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2115 Ashley Dr, Augusta, GA 30906-5085 2010-01-21
1679804215 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2208 Walden Dr, Augusta, GA 30904-6508 2010-01-21

Office Location

Street Address 236 MAIN ST
City WARRENTON
State GA
Zip Code 30828-8100

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679093645 Community Health Care Systems, Inc Pharmacy 1008 Atlanta Highway, Chcs, Inc Pharmacy, Warrenton, GA 30828 2017-06-21
1225350291 Point of Need, Inc Durable Medical Equipment & Medical Supplies 1186 Atlanta Highway #707, Warrenton, GA 30828 2010-02-18
1952486888 Rebecca Lowe Licensed Practical Nurse 510 Legion Drive, Warrenton, GA 30828 2006-10-26
1164507661 Julia Marie Veasey Registered Nurse 565 Legion Drive, Warrenton, GA 30828 2006-10-25
1336446962 Warren County Board of Education Local Education Agency (LEA) 85 Edward Ricketson Jr St, Warrenton, GA 30828-0228 2011-02-17
1376535278 Community Health Care Systems,inc. Clinic/Center 1008 Atlanta Hwy, Warrenton, GA 30828-0312 2005-08-17
1154622769 Miek C. Johnson Physician Assistant 1008 Atlanta Hwy, Tri-county Health System, Inc., Warrenton, GA 30828-0312 2010-11-12
1467783001 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 99 Pineview Ave, Warrenton, GA 30828-2639 2010-01-21
1790299386 Marcus Dawson Psychologist 498 Hudgeons Rd, Warrenton, GA 30828-5444 2017-11-19
1700946852 Ar Mediccal LLC Clinic/Center 450 Main Street, Warrenton, GA 30828-8108 2006-12-11
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225440480 Reid Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 191 Railroad Lane, Warrenton, NC 27589 2014-05-22
1144669979 Goode Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 391 Snowhill Road, Warrenton, NC 27589 2013-06-14
1588002307 Walker Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1198 Dr Martin Luther King Jr Blvd, Warrenton, NC 27589-9173 2013-06-14
1467783001 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 99 Pineview Ave, Warrenton, GA 30828-2639 2010-01-21
1508985193 Warren County Handicapped Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 703 1st St, Warrenton, MO 63383-2606 2007-03-28
1437279809 Warren County Handicapped Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 703 1st St, Warrenton, MO 63383-2606 2007-03-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437764925 Calveina Forde Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 538 Country Lake Dr, Mcdonough, GA 30252-2683 2020-09-10
1730715814 Tyler Rose Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 116 South Mill Creek Court, Woodstock, GA 30188 2020-03-20
1023677713 Earlean Blackwell Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1865 Waldrep Cir Se, Marietta, GA 30060-4927 2019-06-06
1629535216 Carpenter Host Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 806 Grady Ave N, Douglas, GA 31533-4812 2019-03-01
1700354859 View Point Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 160 Longstreet Cir, Oxford, GA 30054-2244 2018-11-07
1760950901 View Point Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2116 Tudor Castle Cir, Decatur, GA 30035-2158 2018-11-06
1144747437 Willie Mae Berry Pugh Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2013 Teal Court, Hephzibah, GA 30815 2017-08-28
1881116721 Springhill Manor Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 600 Spring Hill Drive, Covington, GA 30016 2017-07-12
1093175283 Peaceful River Residential Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 746 Rudgate Rd, Columbus, GA 31904-2929 2016-03-01
1548649494 Prestige Community Living Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2328 Bigwood Trl, Atlanta, GA 30349-9049 2015-05-26
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Competitor

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City WARRENTON
Zip Code 30828

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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